Organization
SAN GABRIEL PHYSICIANS SPECIALTY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA EUGENIA KHALATIAN M.D. (PEDIATRICIAN)
(323) 223-9931
Entity
Organization
Contact information
Practice address
2411 DALY STREET, LOS ANGELES, CA 90031
(323) 223-9931
(323) 223-1229
Mailing address
2411 DALY STREET, LOS ANGELES, CA 90031
(323) 223-9931
(323) 223-1229
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
A31083
CA
173000000X
Legal Medicine
Primary
A33207
CA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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